Active NPI
Jill Vanstrydonk, PTA
- Physical Therapy Assistant
- Tomahawk, WI
National Provider Identifier
1841670015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2021-19
- Practice address
- 202 W Mohawk Dr
Ministry Head 2 Toe Therapy
Tomahawk, WI 54487 - Phone
- (715) 453-6403
- NPI assigned
- Jun 3, 2015
- Last updated
- Jun 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2021-19 | WI | Primary |
Addresses
Primary practice location
202 W Mohawk Dr
Ministry Head 2 Toe Therapy
Tomahawk, WI 54487
Mailing address
2251 N Shore Dr Ste 100
Rhinelander, WI 54501-6710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021-19 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1841670015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 N SHORE DR STE 100",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545016710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 W MOHAWK DR",
"address_2": "MINISTRY HEAD 2 TOE THERAPY",
"city": "TOMAHAWK",
"state": "WI",
"postal_code": "54487",
"telephone_number": "715-453-6403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANSTRYDONK",
"first_name": "JILL",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-03",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "2021-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tomahawk, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.